Crisis Intervention
Characteristics of a Crisis Time limited: Generally lasting no more than six weeks. Time limited: Generally lasting no more than six weeks. Typical phases: Typical phases: –Traditional attempt to problem solve –Attempts to try alternative methods Disorganization Disorganization People are more open to change People are more open to change Opportunity to resolve previously unresolved issues Opportunity to resolve previously unresolved issues Successful experience Successful experience
Crisis Intervention Goal is to stabilize the family situation and restore to their pre-crisis level of functioning. Goal is to stabilize the family situation and restore to their pre-crisis level of functioning. Opportunity to develop new ways of perceiving, coping, and problem-solving. Opportunity to develop new ways of perceiving, coping, and problem-solving. The intervention is time limited and fast paced. The intervention is time limited and fast paced. Worker must take an active and directive approach. Worker must take an active and directive approach.
Process Assessment Assessment Intervention Intervention Termination Termination Assessment includes: the stressor event; the person experiencing the crisis; and the meaning of the event to the person in crisis. Assessment includes: the stressor event; the person experiencing the crisis; and the meaning of the event to the person in crisis. Important to assess risk factors. Important to assess risk factors.
Risk Factors Suicide or homicide Suicide or homicide Risk of physical or emotional harm to the children Risk of physical or emotional harm to the children Risk of break from reality (psychosis) Risk of break from reality (psychosis) Risk of client fleeing the situation. Risk of client fleeing the situation.
Performing the Assessment Conducting the interview Conducting the interview –History: personal and familial of risk behavior –Any means and plans the client may have about carrying out the risk behavior –Controls: internal and external that are stopping the client from undertaking the risk behavior. Observations during the interview Observations during the interview –Level of anxiety; desperation; despair; sense of hopelessness; contact with reality.
The skill and technique most essential at this stage is that of focusing while allowing the client to ventilate and express the overwhelming flood of emotions. The skill and technique most essential at this stage is that of focusing while allowing the client to ventilate and express the overwhelming flood of emotions. Focusing technique can elicit more coherent information for assessment as well as help the client pull themselves together cognitively and emotionally. Focusing technique can elicit more coherent information for assessment as well as help the client pull themselves together cognitively and emotionally. A focused interview can serve as an instrument of both assessment and intervention. A focused interview can serve as an instrument of both assessment and intervention.
Intervention Planning occurs simultaneously as assessment is made about how much time has elapsed between the occurrence of the stressor event and this initial interview. Planning occurs simultaneously as assessment is made about how much time has elapsed between the occurrence of the stressor event and this initial interview. How much the crisis has interrupted the person’s life; How much the crisis has interrupted the person’s life; The effect of this disruption on others in the family; The effect of this disruption on others in the family; Level of functioning prior to crisis and what resources can be mobilized. Level of functioning prior to crisis and what resources can be mobilized.
The goal of intervention is to restore the person to pre-crisis level of equilibrium, not of personality changes. The goal of intervention is to restore the person to pre-crisis level of equilibrium, not of personality changes. Worker attempts to mobilize the client’s internal and external resources. Worker attempts to mobilize the client’s internal and external resources. Exact nature of the intervention will depend on the client’s pre-existing strengths and supports and the worker’s level of creativity and flexibility. Exact nature of the intervention will depend on the client’s pre-existing strengths and supports and the worker’s level of creativity and flexibility.
Three Approaches Affective: Affective: –Expression and management of feelings involving techniques of ventilation; psychological support; emotional catharsis. Cognitive: Cognitive: –Helping the client understand the connections between the stressor event and their response. Techniques include clarifying the problem; identifying and isolating the factors involved; helping the client gain an intellectual understanding of the crisis –Also involves giving information; discussing alternative coping strategies and changing perceptions.
Environmental modification: Environmental modification: –Pulling together needed external, environmental resources (either familial or formal helping agencies) Any and all three approaches may be used at any time depending where the client is, emotionally and cognitively. Any and all three approaches may be used at any time depending where the client is, emotionally and cognitively. The goal is to help the client restore pre-crisis levels of functioning. The goal is to help the client restore pre-crisis levels of functioning.
Warnings Danger of misunderstanding the client’s nonverbal behavior as well as spoken words due to cultural differences or the client’s state of disorganization. Danger of misunderstanding the client’s nonverbal behavior as well as spoken words due to cultural differences or the client’s state of disorganization. Imperative for the worker not to assume that they understand what the client means by his spoken word or non-verbal behavior and vice versa. Imperative for the worker not to assume that they understand what the client means by his spoken word or non-verbal behavior and vice versa. It is best to clarify and make sure. It is best to clarify and make sure.